Acupuncture and moxibustion combined with cupping for the treatment of post-herpetic neuralgia: A meta-analysis.

Journal: Medicine
Treatment Used: Acupuncture Combined with Cupping Therapy vs. Western Medicine
Number of Patients: NULL
MediFind Summary

Overview: This study compared the effectiveness of acupuncture (insertion of very thin needles through the skin at strategic points on the body) and moxibustion (burning dried mugwort on particular points on the body) combined with cupping therapy (therapist puts special cups on your skin for a few minutes to create suction) versus Western medicine (relies on pharmaceutical therapies to address health issues) for post-herpetic neuralgia (complication of shingles that causes burning pain that lasts long after the rash and blisters of shingles disappear; PHN).

Conclusion: The effect of acupuncture (insertion of very thin needles through the skin at strategic points on the body) and moxibustion (burning dried mugwort on particular points on the body) combined with cupping therapy (therapist puts special cups on your skin for a few minutes to create suction) was significantly higher than that of conventional western medicine and significantly prevented the occurrence of post-herpetic neuralgia (complication of shingles that causes burning pain that lasts long after the rash and blisters of shingles disappear).

Abstract

Background: There are still controversies between the curative effect of acupuncture combined with cupping therapy and western medicine for post-herpetic neuralgia (PHN). Our meta-analysis fully incorporates the research of acupuncture combined with cupping therapy versus Western medicine for PHN, aiming to explore the difference in the efficacy of the 2 therapies, so as to provide guidance for clinical treatment.

Methods: We searched PubMed, Embase, Cochrane Library, CNKI, Wanfang, CQVIP, CBM, from establishment of the database to September, 2020. Include studies that are clearly defined as PHN or herpes zoster, and exclude duplicate publications; studies with no full text, incomplete information, or inability to extract data; the definition of exposure is quite different from most literature; animal experiments.

Results: The total effective rate (relative ratio [RR] = 1.21, 95% confidence interval [CI]: 1.12-1.31) and the rate of remarkable effect (RR = 1.46, 95% CI: 1.30-1.63) of acupuncture and moxibustion combined with cupping in the treatment of PHN were significantly higher than that of conventional western medicine. The visual analogue scale score of acupuncture and moxibustion combined with cupping for PHN was significantly lower than that of conventional western medicine treatment (WMD = -1.77, 95% CI [-2.79, -0.75]). In addition, acupuncture and moxibustion combined with cupping therapy significantly reduced the occurrence of PHN compared with conventional western medicine treatment after treatment of acute herpes zoster (RR = 0.30, 95% CI: 0.20-0.45). In order to explore the differences in the efficacy and preventive effects of different types of acupuncture and cupping therapy, we have further conducted a subgroup analysis.

Conclusions: The effect of acupuncture and moxibustion combined with cupping in the treatment of PHN is significantly higher than that of conventional western medicine, and it can significantly prevent the occurrence of PHN. Chinese medicine should be used more widely in the treatment of PHN.

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Authors
Qiujun Zhou, Shenyu Wei, Haijia Zhu, Yue Hu, Yong Liu, Huifeng Yang, Shicheng Zeng, Shiqian Chai, Jingyuan Li, Maocan Tao
Relevant Conditions

Neuralgia, Shingles

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